Behavioral Health Case Management Coordinator

We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross.

Residency in or relocation to Louisiana is preferred for all positions.

Position Purpose.

The Behavioral Health Case Management Coordinator plays a vital administrative role in supporting the Behavioral Health Case Management team. This position is responsible for receiving, reviewing, and routing referrals to licensed behavioral health case managers for member engagement and follow-up. The coordinator serves as a key point of contact for members, providers, and internal departments, ensuring timely and accurate communication and coordination of services. The coordinator also assists with data collection and analysis of referral and service volume for internal and external reporting. 

How You Contribute to the Company’s Mission In This Role

• Receive and review behavioral health case management referrals from multiple sources including self-referrals, providers, customer service, Utilization Management, and medical case management programs via the Epic system and other sources.
• Triage and route referrals to the appropriate licensed case manager based on member needs and program criteria.
• Contact members to clarify referral details when necessary.
• Respond to inbound calls from members, providers, and internal departments regarding behavioral health services.
• Send initial communications such as welcome letters, general information packets, and follow-up correspondence.
• Assist case managers with scheduling of appointments.
• Conduct member satisfaction surveys post-engagement.
• Collect and compile survey data for reporting and quality improvement initiatives.
• Assist licensed case managers to locate community resources and support services for members.
• Maintain accurate documentation of referral activities and member interactions in the case management system.
• Ensure compliance with regulatory and organizational standards for privacy and documentation.
• Works closely with management and staff to participate in operational activities, research and implementation of program enhancements, compliance monitoring, and accreditation.
• Assists with meaningful member outreach activities, assisting with targeted outreach projects to members and providers that will enhance member engagement

Required Qualifications

• High school diploma or equivalent required.
• Minimum of 3 years of experience in a healthcare or insurance setting, preferably in behavioral health or case management coordination.
• Requires the demonstrated ability to identify, make recommendations and take action on opportunities and potential operational efficiencies within the unit and offer solutions and recommendations to management.
• Ability to adhere to defined metrics for monitoring work and preparation of reports to reflect work efforts are required to complete tasks/projects
• Familiarity with Epic or similar electronic health record systems
• Strong organizational and multitasking abilities.
• Excellent verbal and written communication skills.
• Proficient in Microsoft Office Suite and case management software.

Preferred Qualifications

• Ability to work independently and collaboratively in a fast-paced environment.
• Empathy and professionalism in member interactions.

The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions

• Perform other job-related duties as assigned, within your scope of responsibilities.
• Job duties are performed in a normal and clean office environment with normal noise levels.
• Work is predominately done while standing or sitting.
• The ability to comprehend, document, calculate, visualize, and analyze are required.

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An Equal Opportunity Employer

All BCBSLA EMPLOYEES please apply through Workday Careers.

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Additional Information

Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. 

If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact recruiting@bcbsla.com for assistance.

In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. 

Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner.

Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.